X Port Medical Service LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

100595 Issued in NJ

Legal business name

X PORT MEDICAL SERVICE LLC

Practice address

86 Chester Ave
1St FL
Bloomfield, NJ 07003-5930

Phone

(862) 202-3008

Fax

(908) 259-5746

NPI assigned

Oct 8, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hazim E Elsaman

Title

President

Phone

(862) 202-3008

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hazim Elsamani

  • Ambulance
  • Bloomfield, NJ
  • NPI 1568870343
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1275936957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 CHESTER AVE",
            "address_2": "1ST FL",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035930",
            "telephone_number": "862-202-3008",
            "fax_number": "908-259-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 CHESTER AVE",
            "address_2": "1ST FL",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035930",
            "telephone_number": "862-202-3008",
            "fax_number": "908-259-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "X PORT MEDICAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "ELSAMAN",
        "authorized_official_first_name": "HAZIM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "862-202-3008"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "100595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Wohltman, OTR/L
• Elisabeth Wood, PA
• Kevin R. Woodson, M.D.
• David S Wu, MD
• Wzmgroup LLC
• Xas Labs Corporation
• Thomas Yabroudy, DC
• Kinda Hanna Yacoub, DDS
• Mounzer Yacoub, M.D.
• Ilomani Yadgarov, PHARMD

• Ambulance in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.